Background: Phthalates’ esters are commonly incorporated into plastic materials to enhance their elasticity, thereby facilitating their migration into food items. Aims: To evaluate the levels of phthalate esters in six distinct varieties of locally produced cheese and sold in Saudi Arabia, at the time of purchase (t=0) and after storage for one and two months. Methods: Six types of local cheeses (Cheddar, Mozzarella, Feta, Cheeseburger slices, Haloumi and Kashkaval) were purchased and analyzed at three different intervals: at the time of purchase (t=0), after one month, and after two months of storage. The Phthalate ester concentrations were determined using indirect gas chromatography with results expressed in mg/kg of cheese. Results: Among the cheese samples analyzed, di(2-ethylhexyl) phthalate (DEHP) was found to be the most prevalent. Halloumi cheese exhibited the highest average concentration of DEHP (4.29 ± 0.51 mg/kg) followed by Mozzarella cheese (3.65 ± 0.46 mg/kg). After two months of storage, more than two-thirds (n=13) of the samples exceeded the permissible limits content of DEHP content while one-third (n=6) and more than half (n=9) exceeded the limits for dibutyl phthalate (DBP) and di-n-octyl phthalate (DNOP), respectively. The levels of phthalates in all cheese types increased with prolonged storage duration with Cheddar cheese exhibiting the highest rate of increase, exceeding fivefold (from 0.34 to 2.29 mg/kg). Conclusion: This study confirms the presence of phthalate in cheese samples, with concentrations varying depending on the cheese type, specific phthalate compound, and storage duration. Heightened consumer awareness regarding cheese storage practices is imperative to mitigate potential health risks associated with phthalate consumption. Keywords: Phthalate, Cheese, chemical analysis, content, Saudi Arabia.

Background: Phthalates are chemical compounds that have the tendency to migrate into food and beverages, thereby leading to negative health consequences. Aims: was to assess the knowledge of phthalates and practices relating to plastic use among adults residing in Jeddah, Saudi Arabia, with an emphasis on cheese wrapped in plastic materials. Material and Methods: A total of 435 adult participants completed an online questionnaire consisting of three sections 1) socio-demographic characteristics, 2) knowledge-related phthalates, and 3) practices related to plastic use. All collected data were verified and analyzed using the Statistical Package for Social Sciences (SPSS). Results: Our findings revealed that 64.1% of the respondents had poor knowledge regarding plastics and phthalates with gender being a significant factor (p=0.0003). The usage rate of plastic material was found to be remarkably high with 38.2% keeping the purchased cheese either in its original plastic wrapping or placed inside plastic boxes. Moreover, 53.6% never viewed the safe plastic number before purchasing the food products. However Interestingly enough, the type of plastics did not influence participant’s decision-making process when it came down to purchasing or consuming cheese (45.1% & 46.2%, respectively). Respondents who had poor practice represented up to 85 %, while those with poor knowledge and practice constituted 65.1%. However, no significant link between these two factors could be established. Conclusions: Poor awareness levels concerning phthalates along with imprudent usage rates for plastics were observed among adults living within Jeddah city's boundaries; thus, appropriate interventions aimed at raising awareness need implementation so as minimize exposure risks associated with this issue. Keywords: Phthalate, Plastic use, Cheese, Knowledge, Practice, Saudi Arabia.

Background: Dietitians play a critical role in preventing food–drug interactions (FDIs) and drug–nutrient interactions (DNIs); however, evidence regarding their knowledge, attitudes, and practices (KAP) in Saudi Arabia remains limited. Objective: The aim of this study was to assess dietitians’ KAP regarding FDIs and DNIs and examine their associations with socio-demographic and professional characteristics. Methods: A national cross-sectional study was conducted among 353 dietitians using a validated and modified questionnaire. Knowledge was assessed via 15 multiple-choice items (score range 0–15) and categorized as poor (0–5), moderate (6–10), or good (11–15). Attitudes were assessed using 8 Likert-scale statements (score range 8–40) and classified as negative (8–19), neutral (20–29), or positive (30–40). Practices were assessed via 6 frequency-scale items (score range 6–30) and categorized as poor (6–14), moderate (15–23), or good (24–30). Associations were analyzed using chi-square tests. Results: In total, 65.2% of participants demonstrated poor knowledge. Knowledge level was significantly associated with nationality (p = 0.011), educational qualification (p = 0.042), attendance at FDI/DNI training courses (p = 0.003), and inclusion of related topics during university education (p = 0.013). Higher knowledge levels were also associated with managing digestive diseases (p = 0.001), cardiovascular diseases (p = 0.020), and cancer (p = 0.031). Positive attitudes were reported by 77.6% of participants and were significantly associated with managing cardiovascular disease (p < 0.001) and obesity (p = 0.008). Good practices were observed in 36.3% of dietitians and were significantly associated with younger age (p = 0.024), more recent graduation (p = 0.006), fewer years of professional experience (p = 0.002), and managing obesity (p = 0.016). Knowledge was positively associated with practice (p < 0.001). Conclusions: Despite generally positive attitudes, substantial gaps in knowledge and practice regarding FDIs and DNIs exist among dietitians in Saudi Arabia. Strengthening academic curricula and continuing professional education is essential to enhance competency and improve patient safety.